The Effects of Home-Based Self-Care Education on Blood Pressure and Self-Care Behaviors among Middle-Aged Patients with Primary Hypertension in Iran: A Randomized Clinical Controlled Trial

IF 0.8 Q4 NURSING

Home Health Care Management and Practice Pub Date : 2021-05-26 DOI:10.1177/10848223211012727

Sara Hazrati Gonbad, M. Zakerimoghadam, Shahzad Pashaeypoor, S. Haghani

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引用次数: 1

Abstract

Self-care education (SCE) through home visit is one of the methods with potential effects on self-care. This study aimed to evaluate the effects of home-based SCE on blood pressure and self-care behaviors among middle-aged patients with primary hypertension in Iran. This randomized controlled trial was conducted on 110 middle-aged patients with hypertension recruited from public healthcare centers in the south of Tehran, Iran in September 2019. After convenience sampling, Participants were simple randomly allocated to control and intervention groups. Intervention group received a 2-month home-based SCE while control group received routine care services. Before and 2 months after the intervention, self-care behaviors were assessed using the Hypertension Self-Care Activity Level Effects (H-SCALE). Data were analyzed using the SPSS software (v. 16.0) at a significance level of less than .05. After 2 months, the posttest mean scores of self-care behaviors in medication adherence (17.42 ± 1.03 vs 14.49 ± 1.01, p = .04), physical activity (8.16 ± 0.39 vs 6.47 ± 0.52, p = .01), low-salt diet (52.51 ± 3.8 vs 35.36 ± 3.47, p = .001), and blood pressure control (3.47 ± 0.22 vs 2.42 ± 1.89, p = .001), in the intervention group were significantly greater than the control group. However, there were no significant between-group differences respecting the posttest mean scores of the weight management (p = .06) and smoking cessation (p = .2). Also, the mean blood pressure between the 2 groups changed after the intervention, but this difference was not statistically significant. This study suggests the effectiveness of home-based SCE in significantly improving self-care behaviors among patients with hypertension. But more studies are needed to measure the effectiveness of intervention on blood pressure. IRCT code: IRCT20190623043985N1. Registered 06/30/2019, https://fa.irct.ir/trial/40351.

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家庭自我保健教育对伊朗中年原发性高血压患者血压和自我保健行为的影响:一项随机临床对照试验

通过家访进行自我保健教育是一种对自我保健有潜在影响的方法。本研究旨在评估家庭SCE对伊朗中年原发性高血压患者血压和自我护理行为的影响。该随机对照试验于2019年9月在伊朗德黑兰南部的公共医疗中心招募了110名中年高血压患者。经方便抽样后，将参与者简单随机分为对照组和干预组。干预组接受为期2个月的居家生活自理，对照组接受常规护理服务。干预前和干预后2个月，采用高血压自我保健活动水平效应(H-SCALE)量表评估自我保健行为。数据分析采用SPSS软件(v. 16.0)，显著性水平小于0.05。2个月后，干预组在药物依从性(17.42±1.03 vs 14.49±1.01,p = 0.04)、体力活动(8.16±0.39 vs 6.47±0.52,p = 0.01)、低盐饮食(52.51±3.8 vs 35.36±3.47,p = 0.001)、血压控制(3.47±0.22 vs 2.42±1.89,p = 0.001)方面的自我保健行为后测平均分均显著高于对照组。然而，在体重管理(p = .06)和戒烟(p = .2)的后测平均分方面，组间差异无统计学意义。干预后两组的平均血压也有变化，但差异无统计学意义。本研究提示以家庭为基础的自我护理对改善高血压患者的自我护理行为有显著效果。但需要更多的研究来衡量干预血压的有效性。IRCT代码:IRCT20190623043985N1。2019年6月30日注册，https://fa.irct.ir/trial/40351。

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来源期刊

Home Health Care Management and Practice NURSING-

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.